License holder summary

Jeffrey Dean Fortman is a Controlled Substance Registration - Veterinarian licensed to practice in Indiana. The address on file for Jeffrey Dean Fortman is CONRAD ANIMAL HOSPITAL, 3929 E JACKSON BLVD, ELKHART IN 46516. This licensed professional license is not current. The license was granted 09/17/1986 and expired on 10/15/1989.

Indiana

Professional Licensing Agency

Jeffrey Dean Fortman
Controlled Substance Registration - Veterinarian
License number
24004619B
Date granted
09/17/1986
Date expires
10/15/1989
Class
Controlled Substance Registration - Veterinarian
Status
Expired
Address
CONRAD ANIMAL HOSPITAL, 3929 E JACKSON BLVD, ELKHART IN 46516
indianalicensing.org
ID 8638815
LAST UPDATED 2024-04-06 23:54:31 UTC

This website is unaffiliated with the Professional Licensing Agency. Please verify all information directly with the relevant official government authority.

Reviews

Are you familiar with Jeffrey Dean Fortman's work? Add a comment below. You can write anonymously and without having to create an account.

Similar names
Trending